HomeMy WebLinkAbout204764 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00353420 Page 1 of 1
ONE CIVIC SQUARE GEORGE W DAVIS
CARMEL, INDIANA 46032 3854 CORNWALLIS LANE CHECK AMOUNT: $24.45
CARMEL IN 46032 CHECK NUMBER: 204764
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 24.45 TRAVEL LODGING
106 Street Grill
4335 W. 106th St.
Carmel, Indiana
(317)876 -9203
Server: Charlot DOB: 12/16/2011
12:39 PM 12/16/2011
Table 3/1 3/30003
SALE
Vic 3145730
Card #XXXXXXXXXXXXAW
Magnetic card present: DAVIS GEORGE 14
Card Entry Method: S
Approval: 008649
lS lu Amount: 20.45
Tip:
Total:
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I agree to pay the above
total amount according to the
car issuer agreeme
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*Guest's Copy
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VOUCHER NO. WARRANT NO.
ALLOWED 20
George W. Davis
IN SUM OF
3854 Cornwallis Lane
Carmel, IN 46032
$24.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
p "Of Year I hereby certify that the attached invoice(s), or
1110 43- 430.03
bill(s) is (are) true and correct and that the
1110 43- 430.03 $24.45
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 19, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
project
12/16/11 reimburse Chaplain Davis for meal while working on history $24.45
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and i have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer